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Individual

DR. JASON REDWOOD BOOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 RACETRACK RD NW STE 100, FORT WALTON BEACH, FL 32547-1553
(850) 889-4550
(850) 889-4549
Mailing address
310 RACETRACK RD NW, FORT WALTON BEACH, FL 32547-1553
(850) 889-4550
(850) 807-5217

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
L9631
TX
207Y00000X
Otolaryngology Physician
Primary
ME96773
FL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
L9631
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
ME96773
FL
207YX0602X
Otolaryngic Allergy Physician
ME96773
FL

Other

Enumeration date
08/15/2005
Last updated
04/13/2019
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